1. Collaboration in the NHS Who, and where, and making it happen
Tel:+44-(0)
16 November 2018

2. Agenda Collaboration in the NHS environment
What the project in East Kent has achieved
Addressing issues that emerged
Summary
Tel: +44-(0)
2 September, 2006

3. Where are the NHS collaboration needs?
Care delivery
Ability to share information
Multi-disciplinary teams (MDTs) in the Community
Cross Agency working
Clinical networks
Ability for different disciplines to work together
General business requirements
Internal project work
Suppliers, Consultants etc
Tel: +44-(0)
2 September, 2006

4. Why collaborate – care delivery
Silos: organisational, departmental, discipline
Patient journey has many touch points
The challenges are
making sufficient relevant information available from one episode of care to the next.
giving input from different disciplines and perspectives into care that is recommended
monitoring from different perspectives the ongoing case management and outcomes
Complying with Care Record Guarantee
Meeting Information Governance requirements

5. Why collaborate – the business story
PCTs: NHS history of re-organisation
Multiple locations, even multiple HQs
Still re-shaping services and teams
How many ‘partners’ does the PCT have?
Operational – the Council, Mental Health Trusts, Education…….
Business – suppliers, NHS federation, nursing agencies

6. Background to the Eastern & Coastal Kent Groove pilot Project
Seed funding from Microsoft
Helping CFH evaluate Groove for the Enterprise Agreement renewal
Focused on teams, collaboration, personal productivity, not integration, messaging or connection to the Spine
D2i Solutions
Working with Groove pre-Microsoft
Health & NHS expertise
Intermediate care (IC) team selected
No current technology support available
One of IC five teams in the PCT
Making the right choices
Standardising tools/ software
Economies of purchasing
Improve transferability of staff from one role, or organisation
Expertise
Selecting suppliers that understand the technology and the NHS
Prioritising projects
Look for high benefits yield
Opportunities to replicate solution across similar settings
Tel: +44-(0)
2 September, 2006

7. Eastern & Coastal Kent PCT Geographical coverage
Eastern and Coastal Kent PCT
Employees 3,500+
Headquarters 3 sites
Clinical services 70+ sites
Support services (finance / IT / facilities) 5 sites
Geographical area of the organisation
Partner organisations – other NHS, voluntary sector and social care

8. Aims of Shepway pilot
Test Groove technology with multi-disciplinary teams
Improve efficiency of care delivery
Technology must “just work”
Meet the challenge of poor connectivity
Identify the potential benefits for IC
Support clinical processes
Communication between professionals
Secure log of decision making; responsiveness
Reduce number of unplanned admissions into hospital
Evaluate Groove as a collaboration platform

9. Role of Groove Collaboration platform Data Management Application host
Presence
Instant messaging & communications
Security, etc
Workspace management
Data Management
Automatically move all data changes to workspace members when they next connect
Synchronisation capability with SharePoint
Application host
Data capture and tracking using Groove Forms
Tel: +44-(0)
2 September, 2006

10. Patient workspace Ray.jordan@d2i.co.uk 2 September, 2006
Tel: +44-(0)
2 September, 2006

11. Outcomes -Non Intermediate Care sent to A&E

12. What are the issues going forward
Original pilot was successful
Wider deployment needs
Information Governance
Services Infrastructure
Delivering benefits
Tel: +44-(0)
2 September, 2006

13. Information Governance
Backdrop of recent events
Personal data being lost or mislaid
All levels in NHS being held to account, Chief Execs, Caldicott guardians, CFH,
Back to basics approach
Using the Care Record Guarantee
Develop solution design checklist
Ongoing dialogue with CFH
Ensure all projects are able to share benefits from developing best practice
External scrutiny
Tel: +44-(0)
2 September, 2006

14. Services Infrastructure
Groove
Data encrypted on the PC, and in transit
Only transmits changes
Meets FIPS Level 2 security standards
Take advantage of N3
Keep relay server in UK, within N3
D2i, ioko service for Groove
Sharing Cross Agency
Will need to verify their domain policies
Move to a model where NHS manages on behalf of social services etc.
Tel: +44-(0)
2 September, 2006

15. Clinical Benefits Improved Care Management
Faster actions and responses
Clinical safety , share faster, contemporaneous notes
Improved patient/staff interaction
Potential for earlier hospital discharge & reductions in unscheduled admissions

16. Operational Benefits Cross- disciplinary and agency team working
Notes / actions information capture and sharing
Better quality data, standardised, by-product of clinical activity
Use of professional time
Time shifting – work from anywhere
Time slicing – make unproductive time useful
Time release – use ‘dead’ time & reduce travel

17. Behavioural and Life-style Benefits
Behaviour change
Quality of contribution
Mobile working
Work / life balance
Reduced business mileage
Professional empowerment
Tel: +44-(0)
2 September, 2006

18. Summary Groove collaboration adds value
Action to address key issues going forward
Learning, and hosted services infrastructure allows other NHS to fast-track based on the East Kent experience
Tel: +44-(0)
2 September, 2006

19. People • Knowledge • Technology
From Data to Intelligence™
People • Knowledge • Technology